{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T20:07:09Z","timestamp":1762459629124,"version":"3.37.3"},"reference-count":20,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"accepted":{"date-parts":[[2018,6,6]]},"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec>\n<jats:title>Objectives<\/jats:title>\n<jats:p>All males and females attending the Melbourne Sexual Health Centre (MSHC) from August 2017 were asked whether they had had sex with a transgender or gender diverse (TGD) person using computer-assisted self-interviewing (CASI). We aimed to verify the self-reported responses via chart review. The secondary aim of this study was to identify whether having sex with a TGD person was associated with STI risk.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>This was a retrospective chart analysis of patients visiting MSHC between August and December 2017. Chart review was performed to verify the self-reported responses. Multivariable logistic regression was performed to examine the association between having sex with a TGD person and patients\u2019 characteristics and STI risk.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n    <jats:p>Of the 10\u2009100 male and female consultations, the proportion who reported having sex with a TGD person was 111 (1.0%) and was higher among males (1.3%) than females (0.6%) (p=0.001). After chart review, we could verify 66.9% of the responses, more for males (75.2%) than females (45.2%) (p&lt;0.001). Of the 6822 males, men aged \u226535 years (adjusted OR=2.2; 95%\u2009CI 1.1 to 4.1) were more likely to have sex with a TGD person compared with men aged \u226424 years, after adjusting for confounding factors. Sex with a TGD person was not associated with sexual orientation in males. Of the 3278 females, gay and bisexual females had 13.7-fold (95%\u2009CI 5.1 to 37.0) higher odds of having sex with a TGD person than heterosexual females. There was no association between chlamydia positivity and sex with a TGD person in both males and females.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>When a question on TGD partners is asked as part of routine sexual history using CASI, the majority of responses could be verified. TGD partners were most commonly reported among males. These findings underscore the value of asking patients about sex with TGD partners.<\/jats:p>\n<\/jats:sec>","DOI":"10.1136\/sextrans-2018-053653","type":"journal-article","created":{"date-parts":[[2018,6,27]],"date-time":"2018-06-27T16:17:16Z","timestamp":1530116236000},"page":"46-52","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Sex with a transgender or gender diverse person among patients attending a sexual health centre in Melbourne, Australia"],"prefix":"10.1136","volume":"95","author":[{"given":"Eoin F","family":"Cleere","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher K","family":"Fairley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Launcelot","family":"McGrath","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catriona S","family":"Bradshaw","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus Y","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1766-0657","authenticated-orcid":false,"given":"Eric P F","family":"Chow","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,6,27]]},"reference":[{"key":"2024092304402204000_95.1.46.1","doi-asserted-by":"publisher","DOI":"10.1038\/518288a"},{"key":"2024092304402204000_95.1.46.2","article-title":"Beyond the Binaries: Depolarizing the Categories of Sex, Sexuality, and Gender","volume":"6660","author":"Judith","year":"1996","journal-title":"Sociological Inquiry"},{"key":"2024092304402204000_95.1.46.3","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1016\/S0140-6736(16)30675-4","article-title":"Transgender health: an opportunity for global health equity","volume":"388","author":"Lo","year":"2016","journal-title":"Lancet"},{"key":"2024092304402204000_95.1.46.4","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1016\/S0140-6736(16)00684-X","article-title":"Global health burden and needs of transgender populations: a review","volume":"388","author":"Reisner","year":"2016","journal-title":"Lancet"},{"key":"2024092304402204000_95.1.46.5","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(12)70315-8"},{"key":"2024092304402204000_95.1.46.6","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(13)70242-1"},{"key":"2024092304402204000_95.1.46.7","doi-asserted-by":"publisher","DOI":"10.1258\/095646206775809114"},{"key":"2024092304402204000_95.1.46.8","doi-asserted-by":"publisher","DOI":"10.1177\/0956462413512807"},{"key":"2024092304402204000_95.1.46.9","first-page":"52","article-title":"A Student-Led Introduction to Lesbian, Gay, Bisexual, and Transgender Health for First-Year Medical Students","volume":"49","author":"Grosz","year":"2017","journal-title":"Fam Med"},{"key":"2024092304402204000_95.1.46.10","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1071\/SH13156","article-title":"An evaluation of an express testing service for sexually transmissible infections in low-risk clients without complications","volume":"11","author":"Gamagedara","year":"2014","journal-title":"Sex Health"},{"key":"2024092304402204000_95.1.46.11","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1097\/OLQ.0000000000000777","article-title":"Evaluation of the Implementation of a New Nurse-Led Express \"Test-And-Go\" Human Immunodeficiency Virus\/Sexually Transmitted Infection Testing Service for Men Who Have Sex With Men at a Sexual Health Center in Melbourne, Australia","volume":"45","author":"Chow","year":"2018","journal-title":"Sex Transm Dis"},{"key":"2024092304402204000_95.1.46.12","first-page":"792","article-title":"Gender dysphoria","volume":"44","author":"Atkinson","year":"2015","journal-title":"Aust Fam Physician"},{"issue":"4","key":"2024092304402204000_95.1.46.13","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1071\/SH13202","article-title":"Who are the sexual partners of transgender individuals? Differences in demographic characteristics and risk behaviours of San Francisco HIV testing clients with transgender sexual partners compared with overall testers","volume":"11","author":"Wilson","year":"2014","journal-title":"Sex Health"},{"key":"2024092304402204000_95.1.46.14","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1071\/SH17050","article-title":"Transgender HIV and sexually transmissible infections","volume":"14","author":"McNulty","year":"2017","journal-title":"Sex Health"},{"key":"2024092304402204000_95.1.46.15","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1089\/trgh.2017.0031","article-title":"Enacted Stigma, Mental Health, and Protective Factors Among Transgender Youth in Canada","volume":"2","author":"Veale","year":"2017","journal-title":"Transgend Health"},{"key":"2024092304402204000_95.1.46.16","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.socscimed.2015.11.010","article-title":"Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions","volume":"147","author":"White Hughto","year":"2015","journal-title":"Soc Sci Med"},{"key":"2024092304402204000_95.1.46.17","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1089\/trgh.2016.0046","article-title":"Access to Medical and Mental Health Services Across the HIV Care Continuum Among Young Transgender Women: A Qualitative Study","volume":"2","author":"Dowshen","year":"2017","journal-title":"Transgend Health"},{"key":"2024092304402204000_95.1.46.18","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1089\/trgh.2016.0019","article-title":"Opportunities and Gaps in Primary Care Preventative Health Services for Transgender Patients: A Systemic Review","volume":"1","author":"Edmiston","year":"2016","journal-title":"Transgend Health"},{"key":"2024092304402204000_95.1.46.19","first-page":"9","article-title":"Supporting trans people in clinical practice","volume":"713","author":"Kevan","year":"2016","journal-title":"Trends in Urology & Men\u2019s Health"},{"key":"2024092304402204000_95.1.46.20","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/S0140-6736(16)00682-6","article-title":"Serving transgender people: clinical care considerations and service delivery models in transgender health","volume":"388","author":"Wylie","year":"2016","journal-title":"Lancet"}],"container-title":["Sexually Transmitted Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/sextrans-2018-053653","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T17:57:04Z","timestamp":1727114224000},"score":1,"resource":{"primary":{"URL":"https:\/\/sti.bmj.com\/lookup\/doi\/10.1136\/sextrans-2018-053653"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,27]]},"references-count":20,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,1,23]]},"published-print":{"date-parts":[[2019,2]]}},"alternative-id":["10.1136\/sextrans-2018-053653"],"URL":"https:\/\/doi.org\/10.1136\/sextrans-2018-053653","relation":{},"ISSN":["1368-4973","1472-3263"],"issn-type":[{"type":"print","value":"1368-4973"},{"type":"electronic","value":"1472-3263"}],"subject":[],"published":{"date-parts":[[2018,6,27]]}}}